$26.71–$27.82
97810 covers the initial interval without electrical stimulation. 97811 is for qualifying additional time and requires needle reinsertion.
On this page
CMS RVU26D · Effective 2026-10-01
97810 Acupuncture Medicare reimbursement rates in Missouri
Report 97810 for the initial 15 minutes of one-on-one acupuncture using one or more needles without electrical stimulation. Compare 97810 office and facility rates across CMS payment localities in Missouri.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 97810 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$44.42–$46.83
3 of 3 localities have a supported rate.
Facility setting
$26.57–$27.12
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 97810 pays more and less in Missouri
3 payment localities
$44.42 to $46.83
Acupuncture
About 97810: Initial acupuncture without electrical stimulation
Report 97810 for the initial 15 minutes of one-on-one acupuncture using one or more needles without electrical stimulation.
97810 represents the initial timed segment of acupuncture delivered by inserting one or more needles without passing electrical current through them. The practitioner selects acupuncture points and provides direct, one-on-one contact while treating the patient; needle count alone does not change the code. It is used in outpatient care, including pain-management and integrative-medicine settings. Physicians and other practitioners qualified under applicable scope-of-practice and payer requirements may provide the service.
Report 97810 for the initial 15-minute segment. Document face-to-face treatment time, needle placement, and whether electrical stimulation was used; distinguish treatment time from preparation or unrelated discussion. CMS prices the service under the physician fee schedule using physician work, malpractice, and practice-expense inputs, with separate office and facility practice-expense values. This code represents the initial service, not a charge per needle.
Where the value comes from
- Work RVU0.61 · 42%
- Practice expense (office) RVU0.79 · 55%
- Malpractice RVU0.04 · 3%
88.6K
Medicare services in 2024 · #598 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
97810 compared with similar codes
Office rates for Missouri, from the same CMS release.
$52.26–$55.01
Both describe the initial acupuncture interval, but 97813 is used when electrical stimulation is applied.
$27.04–$28.15
97814 reports a qualifying additional interval with electrical stimulation and needle reinsertion; 97810 is the initial interval without stimulation.
Compare 97810 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$46.46
Facility
$27.01
Metropolitan St. Louis →
Office / nonfacility
$46.83
Facility
$27.12
Rest Of Missouri →
Office / nonfacility
$44.42
Facility
$26.57
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97810 billing questions
How does 97810 differ from 97813?
Use 97810 for the initial acupuncture interval without electrical stimulation. Use 97813 when electrical stimulation is applied during the initial interval.
When is 97811 reported with 97810?
97811 reports a qualifying additional 15-minute interval when needle reinsertion requirements are met. Document the additional treatment time and reinsertion.
Is 97810 reported per needle?
No. It represents the initial timed acupuncture service using one or more needles; the number of needles does not determine the code.
What documentation supports 97810?
Record the face-to-face treatment time, needle placement, and whether electrical stimulation was used. Keep preparation and unrelated discussion distinct from treatment time.
Can 97810 and 97813 describe the same initial interval?
They represent different methods for the initial interval: 97810 is without electrical stimulation, while 97813 is with it. Select the code matching the service performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,91397802,,Medical nutrition indiv in,A,,0.53,0.56,,0.25,,0.01,1.10,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91497803,,Med nutrition indiv subseq,A,,0.45,0.49,,0.20,,0.01,0.95,0.66,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91597804,,Medical nutrition group,A,,0.25,0.25,,0.11,,0.01,0.51,0.37,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91697810,,Acup 1/> wo estim 1st 15 min,A,,0.61,0.79,,0.17,,0.04,1.44,0.82,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91797811,,Acup 1/> w/o estim ea add 15,A,,0.46,0.36,,0.13,,0.03,0.85,0.62,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91897813,,Acup 1/> w/estim 1st 15 min,A,,0.74,0.90,,0.21,,0.05,1.69,1.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,91997814,,Acup 1/> w/estim ea addl 15,A,,0.47,0.36,,0.13,,0.03,0.86,0.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00